Mrs Lisa Elizabeth Gonzales, CNM is a medicare enrolled "Midwife" in Travis Afb, California. Her current practice location is
101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at
(707) 423-5311.
Mrs Lisa Elizabeth Gonzales is licensed to practice in Virginia (license number 0024169804) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275801425.
Provider's Profile
Full Name | Mrs Lisa Elizabeth Gonzales |
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Gender | Female |
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Speciality | Midwife |
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Location | 101 Bodin Cir, Travis Afb, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275801425
- Provider Enumeration Date: 12/02/2011
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032551791
- Enrollment ID: I20240525000390
Medical Identifiers
Medical identifiers for Mrs Lisa Elizabeth Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275801425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 0024169804 (Virginia) | Secondary |
176B00000X | Midwife | 0024169804 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Elizabeth Gonzales is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lisa Elizabeth Gonzales, CNM 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5311 | Mrs Lisa Elizabeth Gonzales, CNM 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5311 |
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